Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Life Care Center Of North Glendale during CMS and state inspections, most recent first.
Food items were found improperly stored, labeled, and dated in several kitchen and storage areas. Uncovered frozen foods, undated refrigerated items, opened dry goods without dates, expired dry goods, and unrefrigerated pitchers of tea and lemonade were observed, along with an ice scoop left outside its holder on a hydration cart. The FSD and Administrator stated food items should be labeled and dated, expired items discarded, and the scoop kept in the holder.
A resident with schizophrenia, major depressive disorder, anxiety disorder, and other medical conditions had PASRR Level 1 screenings completed, but no determination results were received from the state-designated authority. The SS assistant said she completed and emailed the screenings, but could not locate the results, and the DON and ED confirmed that determination results should be received for all residents.
PRN Pain Medication Given Outside Ordered Pain Parameters: A resident with cellulitis of both lower extremities and pain related to infection received Hydromorphone outside the physician-ordered pain range. The MAR showed multiple doses were administered when the documented pain score was below the ordered 6-10 parameter, including several times when pain was 0. An LPN and the DON stated pain meds should be given only within ordered parameters and after appropriate pain assessment.
Failure to Provide Timely Toenail Care: A resident with DM, venous insufficiency, and ESRD had long, thick, chipped toenails with blood at the edges and black discoloration noted during survey observations. The resident stated nail care had not been performed, and an LPN observed the nails were overgrown and consistent with fungal changes. The DON stated nursing staff and CNAs are responsible for monitoring feet and identifying nail care needs, and residents with diabetes or other foot concerns should be referred to podiatry.
Failure to provide ordered oxygen monitoring and safe respiratory care. A resident with pneumonia, chronic respiratory failure with hypoxia, and CHF had oxygen therapy in the care plan, but staff did not consistently keep the nasal cannula connected or within reach, and no pulse oximetry readings were documented in the EHR. The resident reported not receiving oxygen after a shower and later said he had difficulty breathing overnight. An LPN observed wheezing and an oxygen saturation of 88%, while the DON stated oxygen tubing should not be left on the floor and pulse oximetry checks are needed when oxygen is ordered PRN.
Medications and topical treatments were found unsecured in residents’ rooms instead of being kept in locked storage or handled by nursing staff. One resident with diabetes, venous insufficiency, and ESRD had wound ointment on the windowsill, while another cognitively intact resident with pain and quadriplegia had Icy Hot on the bedside table and reported self-using it. Staff, including an LPN, wound care nurse, CNA, and DON, stated these products should not be left in resident rooms and should be stored by nursing staff.
A resident with cognitive impairment and multiple medical conditions alleged abuse by a male night shift staff member. The incident was promptly reported to nursing management, administration, and local police, but notifications to the State Agency and APS were delayed beyond the required 2-hour window due to technical issues and late submission, resulting in noncompliance with mandated reporting requirements.
The facility did not maintain adequate nursing staff to meet residents' needs, resulting in prolonged call-light response times, delayed continence care, and untimely meal service. Multiple residents with complex medical conditions experienced significant waits for assistance with ADLs, and staff confirmed frequent short-staffing and inability to use registry staff. Supervisors and the DON were aware of the staffing shortages, which led to resident complaints and unmet care needs.
A facility failed to prevent abuse between two residents, resulting in a physical altercation. One resident, with Alzheimer's and a history of aggression, hit another resident during an argument. Staff intervened immediately, and no injuries were noted. The facility's policies were in place, but the incident revealed a failure to protect residents from abuse by others.
A resident on anticoagulant therapy experienced a fall and developed slurred speech, a change from their baseline condition. Despite the facility's policy requiring immediate notification of such changes to the physician, there was no evidence that the physician was informed. This oversight could result in delayed treatment, highlighting a deficiency in communication and documentation practices.
Food Storage and Labeling Deficiencies
Penalty
Summary
Food items were observed stored, labeled, and dated inconsistently in multiple areas of the facility. In the freezer, two personal size pepperoni pizzas and four burritos were uncovered, open to air, and not dated. In refrigerator #1, a tray of individual clear cups with lids containing tartar sauce and coleslaw were not dated, and a gallon container of relish that was half full did not have an open date. In the dry storage area, a box of rainbow sprinkles was open with no date of when opened, and bread crumbs, salt, Corn Flakes, and Raisin Bran were all dated January 2, 2026 with use by dates of June 2, 2026. Caramel sauce and chocolate syrup were also opened and not labeled with a date opened or use by date. In refrigerator #2, individual cups of liquid were not dated, and 18 pitchers of tea and lemonade were on a cart unrefrigerated and open to air with no label or date. On the 3rd floor hydration cart, a blue cooler had an ice scoop lying next to it on the cart instead of in the scoop holder. The Food Service Director stated the scoop should be in the holder and not on top of the cart, and the Administrator/Executive Director stated food items should be labeled and dated, expired items thrown away, and the ice scoop should be in the holder at all times. The facility policy stated food is to be stored and maintained in a clean, safe, and sanitary manner, with pre-packaged food placed in sanitary containers with tight-fitting lids and labeled with contents and date, and opened packages resealed tightly.
PASRR Determination Results Not Received for Resident With MI
Penalty
Summary
PASRR screening for mental disorders or intellectual disabilities was not completed correctly for one resident with diagnoses including schizophrenia, major depressive disorder, anxiety disorder, type 2 diabetes mellitus, heart failure, and renal failure. The resident had physician orders for Rexulti for schizoaffective disorder, Prozac for depression, and Trazodone for anxiety. The MDS assessment showed a BIMS score of 15, indicating fully intact cognition, and the care plan identified psychosocial wellbeing concerns related to anxiety disorder, major depressive disorder, and schizoaffective disorder, with monitoring for sedation, drowsiness, dry mouth, blurred vision, tardive dyskinesia, and seizure disorder. The record showed a PASRR Level 1 dated April 15, 2025, and another PASRR Level 1 dated April 8, 2026, but neither had determination results received from the state-designated authority. The Social Services Assistant stated she completed PASRR Level 1 screenings and sent them to the state-designated authority, but could not find determination results for either screening. The DON and ED stated PASRR Level 1 screenings are sent for review for all residents and determination results should be received, and the DON stated that not receiving the Level 1 determination could result in the resident not receiving the appropriate level of care and services.
PRN Pain Medication Given Outside Ordered Pain Parameters
Penalty
Summary
The facility failed to ensure that pain medication was administered according to physician orders for one resident. Resident #132 was admitted with diagnoses including cellulitis of both lower extremities, muscle weakness, cognitive communication deficit, psychoactive substance abuse, and alcohol abuse in remission. The resident’s care plan identified pain related to infection of the bilateral lower extremities and included administering pain medication as ordered and attempting non-pharmacological interventions before giving pain medication. A physician ordered Hydromorphone HCl 2 mg by mouth every four hours as needed for pain levels of 6-10 on a 0-10 scale. Review of the MAR showed Hydromorphone was given multiple times when the documented pain score was below the ordered range, including four administrations in May when pain was documented as 4, 4, 1, and 3, and three administrations in June when pain was documented as 0. Staff interviews confirmed that pain medication should be administered only within the physician-ordered pain scale and time parameters, and the DON stated medications should only be administered as ordered.
Failure to Provide Timely Toenail Care
Penalty
Summary
The facility failed to ensure appropriate toenail care was provided for a resident with diabetes, venous insufficiency, thrombocytopenia, anemia, and end-stage renal disease. The resident’s MDS indicated the resident was cognitively intact, required set up or clean up assistance with personal hygiene, and was dependent on staff for putting on and taking off footwear. The care plan included assistance with ADLs as needed, and a physician order allowed podiatry or ophthalmology care as needed. A podiatry SOAP note showed the podiatrist debrided the toenails on both feet using a mechanical grinder. During survey observations, the resident’s toenails were noted to be long, chipped, thick, and yellow, with blood around the edges of several toenails and black discoloration on both great toes; the skin around the toenails was dry and flaky. On a later observation, the resident stated nail care had not been performed. An LPN observed the toenails and stated they were overgrown, thick, and showed signs consistent with fungal infection, and that they required trimming. The DON stated nail care is provided by nursing staff or nursing assistants unless a podiatry order exists, that nurses and CNAs are responsible for monitoring residents’ feet and identifying nail care needs, and that residents with diabetes or other foot concerns should be referred to podiatry.
Failure to Provide Ordered Oxygen Monitoring and Safe Respiratory Care
Penalty
Summary
The facility failed to provide respiratory care in accordance with professional standards of practice for a resident with diagnoses including pneumonia, chronic respiratory failure with hypoxia, and congestive heart failure. The resident’s care plan included oxygen therapy interventions such as observing for signs and symptoms of respiratory distress and reporting changes to the MD as needed. The quarterly MDS showed a BIMS score of 15 and indicated the resident was on oxygen therapy while a resident. Review of the EHR from May 11, 2026 to June 10, 2026 revealed no pulse oximeter readings. A physician’s order dated June 9, 2026 ordered oxygen at 2 LPM via nasal cannula as needed, and a later order dated June 10, 2026 ordered oxygen saturation checks every eight hours. During an interview on June 9, 2026, the resident stated he relied on oxygen for breathing support at night and said he had not been receiving oxygen because the tubing had not been re-applied after his shower the previous night. The oxygen tubing was observed lying on the floor beneath the bed and was not within the resident’s reach, and the oxygen concentrator was on and set to 3.5 LPM. On June 10, 2026, staff observed there was no oxygen tubing connected to the concentrator in the resident’s room, and the resident stated he had difficulty breathing the night before because staff had not replaced the tubing or checked on his oxygen needs. Later that day, the resident was observed sleeping with a nasal cannula in place and the concentrator set to 2.6 LPM. An LPN stated she observed the resident’s oxygen saturation at 88% and wheezing, but could not provide documentation because it had not been entered into the record. She stated there were no standing orders to check pulse oximetry and that the oxygen saturation checks had not been completed for this resident. The DON stated oxygen tubing should not be left on the floor, nurses must ensure it is not left there, and if oxygen is prescribed as needed the resident should have an order for pulse oximetry checks.
Medications Left Unsecured at Residents’ Bedsides
Penalty
Summary
The facility failed to ensure that medications were secured in a locked storage area and accessible only to authorized personnel for two residents. During observations, a container of Coloplast Hydrophilic Wound Dressing Ointment was found on the bedside windowsill in one resident’s room, and a container of Icy Hot topical analgesic was found on another resident’s bedside table. Staff interviews confirmed that both products should not have been left in resident rooms and were expected to be stored by nursing staff in locked medication storage areas. Resident #66 was admitted with diagnoses including type 2 diabetes mellitus, venous insufficiency, and end-stage renal disease. A quarterly MDS assessment showed a BIMS score of 14, indicating intact cognition, and the resident was at risk for pressure ulcers and skin injuries. The resident was observed with Hydrophilic Wound Dressing Ointment at the bedside, and an LPN stated it should not be kept there and should only be administered by a nurse. A wound care nurse stated the product is used for open wounds, should be applied by nursing staff only, and was not included in the resident’s current orders. The MAR/TAR showed the resident was receiving TRIAD cream treatment by licensed nursing staff. Resident #27 was admitted with diagnoses including acute embolism and thrombosis, quadriplegia, and osteoarthritis. A quarterly MDS assessment showed a BIMS score of 15, indicating intact cognition, and the resident had frequent pain rated 7 out of 10. The resident’s care plan did not include medication self-administration, and the EHR contained no self-administration assessment. The resident was observed with Icy Hot topical analgesic on the bedside table and stated she used it herself for aching bones. An LPN stated the resident was not supposed to have the ointment in the room, that it required a physician’s order, and that it was to be kept by nursing staff. A physician’s order for Icy Hot was entered later, but the MAR/TAR showed no documented administration in June 2026.
Failure to Timely Report Alleged Abuse to Mandated Entities
Penalty
Summary
The facility failed to ensure that an allegation of abuse involving a resident was reported immediately and within the required 2-hour timeframe to mandated entities. The incident involved a resident with multiple medical diagnoses, including fractures, urinary tract infection, and acute kidney failure, who had a moderately impaired cognitive status. The resident's family reported to nursing staff that the resident claimed to have been raped by a male night shift staff member. Upon being informed, the nurse assessed the resident for injuries and found none, and notified nursing management, administration, and the local police. Documentation and interviews revealed that the incident was reported to the local police and the facility administrator on the same night it was disclosed. However, the notification to the State Agency and Adult Protective Services (APS) was delayed and occurred outside the mandated 2-hour window. The administrator attempted to submit the report to the State Agency via the online portal but encountered a server error, resulting in the report being sent by email later than required. The facility's policy, as well as statements from staff, confirmed that allegations of abuse are to be reported immediately and within 2 hours to all required authorities. Staff interviews consistently indicated an understanding of the need for immediate reporting to ensure resident safety and prompt investigation. Despite this, the actual reporting to the State Agency and APS did not occur within the required timeframe, as confirmed by timestamps on the reports and emails. This delay constituted a failure to follow both regulatory requirements and facility policy regarding the timely reporting of abuse allegations.
Failure to Provide Sufficient Nursing Staff for Resident Care Needs
Penalty
Summary
The facility failed to ensure sufficient nursing staff were available each day to meet the needs of all residents, as evidenced by documentation, staff and resident interviews, and review of facility policies and procedures. Multiple residents with significant care needs, including bowel incontinence, mobility deficits, and cognitive impairments, reported extended delays in call-light response and assistance with activities of daily living (ADLs) such as toileting, transfers, and personal hygiene. Residents described waiting from 30 minutes up to four hours for staff assistance, with some experiencing skin rashes and soiled clothing due to delayed continence care. Several residents also reported that food trays were not served in a timely manner, resulting in cold meals. Staffing schedules, daily staff postings, and time cards for Hall 200 during February and March revealed frequent short-staffing, with fewer CNAs scheduled than required to meet the care needs of approximately 56 residents. The staffing coordinator and CNAs confirmed that there were often only two to four CNAs on duty during shifts that required five to six, and that the facility was unable to use registry staff to fill gaps. Staff interviews indicated that supervisors were aware of the staffing shortages, and that CNAs were often unable to respond to call-lights promptly due to the high number of residents needing assistance. The DON and staffing coordinator acknowledged ongoing difficulties in hiring and retaining sufficient staff, and that current staff were working double shifts, leading to burnout and fatigue. Resident council meeting notes and individual resident interviews consistently documented concerns about delayed care, inadequate assistance with meals and activities, and insufficient staff presence, particularly on Hall 200. Residents and their families reported that staff frequently explained delays by citing high workloads and insufficient staffing. The facility's own staffing policy requires adequate staff on each shift to meet residents' needs, but the documented staffing levels and resident experiences demonstrate that this standard was not met during the period reviewed.
Failure to Prevent Resident-to-Resident Abuse
Penalty
Summary
The facility failed to protect residents from abuse by other residents, as evidenced by an incident involving two residents. Resident #11, who was cognitively intact, was admitted with diagnoses including dementia and heart disease. On August 13, 2024, a CNA witnessed Resident #37, who has Alzheimer's disease and anxiety disorder, physically hitting Resident #11 in the forearm during an argument. The incident occurred in the hallway, and both residents were separated by staff immediately. No injuries were noted on either resident upon initial assessment. Resident #37 had a history of physical aggression related to dementia and anger, as noted in their care plan. The care plan included interventions to manage aggressive behavior, such as providing personal space and intervening before agitation escalates. Despite these measures, Resident #37 engaged in a physical altercation with Resident #11, who was known to not share her space with others. The altercation was witnessed by multiple staff members, who provided statements confirming the sequence of events. Interviews with staff, including an LPN and the Director of Nursing, revealed that the facility had policies in place to prevent abuse, but the incident highlighted a failure to ensure residents were free from abuse by others. The Director of Nursing confirmed that a 5-day investigation substantiated the allegation of abuse, noting that the two residents involved did not get along, which only became apparent during the incident.
Failure to Notify Physician of Change in Condition
Penalty
Summary
The facility failed to notify the physician of a change in condition for a resident who was on anticoagulant therapy. The resident, who had a history of muscle weakness, anemia, chronic kidney disease, and paroxysmal atrial fibrillation, was readmitted to the facility after being sent to the hospital for a CT scan due to increased pain. Upon readmission, the resident was on warfarin therapy, and the care plan included monitoring for signs of bleeding and changes in mental status. Despite these precautions, the resident experienced a fall, and subsequent neurological checks revealed slurred speech, a significant change from the resident's baseline. The documentation showed that the resident had clear speech initially but developed slurred speech after the fall. However, there was no evidence that the physician was notified of this change in condition, which is critical given the resident's anticoagulant use and the risk of internal bleeding. Interviews with staff, including an LPN, RN, and the Director of Nursing, indicated that the expectation was to notify the physician of any changes in the resident's condition, especially for residents on blood thinners. The physician also stated that he should be informed of any changes after a fall, as it could indicate a serious condition like a subdural hematoma. The facility's policy on neurological assessments required immediate documentation and reporting of any pertinent changes in a resident's neurological status to the physician. Despite this policy, the clinical records did not show any notification to the physician about the resident's slurred speech, which was a new and concerning symptom. This oversight could lead to delayed treatment and highlights a deficiency in the facility's communication and documentation practices.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Glendale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Advanced Health Care Of Glendale | 2.4 mi | ★★★★★ | 5 | 0 |
| Center At Arrowhead, Llc | 3.2 mi | ★★★★★ | 0 | 0 |
| Horizon Post Acute And Rehabilitation Center | 3.3 mi | ★★★★★ | 3 | 0 |
| Agave Grove Post Acute | 3.4 mi | ★★★★★ | 2 | 0 |
| Freedom Plaza Care Center | 4.6 mi | ★★★★★ | 0 | 0 |
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